Retrograde Pylorogastric Intussusception—Case Report and Literature Review

Author:

Worth Samantha1ORCID,Morton Zoey1ORCID,Groot Samuel2,Evert Michael2,Gates Robert L.12

Affiliation:

1. University of South Carolina School of Medicine-Greenville, Greenville, SC, USA

2. Prisma Health—Upstate, Greenville, SC, USA

Abstract

A 6-month-old male presented with an acute onset of emesis and feeding intolerance. Abdominal ultrasound revealed a mass in the distal stomach immediately adjacent to the balloon of a gastrostomy button. Upper gastrointestinal (GI) series demonstrated persistence of the mass obstructing the pylorus even after deflation of the gastrostomy balloon with failure of contrast to empty from the stomach. Upper endoscopy revealed retrograde pylorogastric intussusception. The child then underwent laparotomy, and after removal of the gastrostomy, a Heineke-Mikulicz pyloroplasty was performed. Postoperative total parenteral nutrition was administered for 10 days at which point he was passing flatus and enteral oral feeding started. The postoperative course remained uncomplicated.

Publisher

SAGE Publications

Subject

General Medicine

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